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血管造影术与氙洗脱技术评估水合和脱水犬肾皮质灌注的比较:初步观察

Comparison of renal cortical perfusion assessed with angiography and xenon washout technique in hydrated and dehydrated dogs: a preliminary observation.

作者信息

Burgener F A, Weber D A

出版信息

Invest Radiol. 1977 Jul-Aug;12(4):333-7. doi: 10.1097/00004424-197707000-00006.

Abstract

Selective renal angiograms and xenon washout curves were performed under general anesthesia with pentobarbital in hydrated or dehydrated dogs weighing 22-27 kg. Compared to the hydrated animals a significant overall decrease in the angiographic cortical perfusion was found in the dehydrated dogs which was reversible with the infusion of 200 ml isotonic saline. The total renal blood flow, the rapid flow component and the percent of total flow to the first compartment assessed with the xenon washout technique was however not significantly different in hydrated and dehydrated animals. It is suggested that temporary cortical ischemia might occur in dehydration which differs from the well known pathologic condition of cortical ischemia since total renal blood flow appears to be normal in the former and there is a fast recovery with isotonic saline infusion. The observed findings in dehydration could be explained with redistribution of blood away from the outer cortex to the inner cortex and to the medulla.

摘要

在全身麻醉下,对体重22 - 27千克的水合或脱水犬使用戊巴比妥进行选择性肾血管造影和氙清除曲线检查。与水合动物相比,脱水犬的血管造影皮质灌注总体上显著降低,输注200毫升等渗盐水后可逆转。然而,用水氙清除技术评估的总肾血流量、快速血流成分以及第一部分总血流量的百分比在水合和脱水动物中并无显著差异。提示脱水时可能发生暂时性皮质缺血,这与众所周知的皮质缺血病理状况不同,因为前者的总肾血流量似乎正常,且输注等渗盐水后恢复迅速。脱水时观察到的结果可以用血液从外皮质向内皮质和髓质重新分布来解释。

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